I appreciate the amount of work you put into designing your ergonomic set ups. However not everyone can appreciate your works in full.

As a friend to many with disabilities, having nerve damage that makes them unable to use their index or middle finger on their left hand should not make a game unplayable.

Such an example is Aeiron and his hands-free pentakill. His unorthodox set up allows him to play the game. I understand you are busy and that you are hard at work making the best game you can. But giving the option for players to enjoy your game however they want can mean the world to certain people.

Dartkun,
I want to first tell you that your friend is an inspiration to all gamers everywhere. He truly has reached max level! Sadly though, adjusting the control scheme is not an easy task on newer games due to the complexity of the coding. If there was a way we could just 'flip a switch' and allow gamers to have their own control scheme we would; but, that's just not a possibility.
Many third parties offer special peripherals that could assist people such as Aeiron in pwning n00bs online for many years to come!
K:D 99:1!
xXGam3rR3|>Xx